Display

2019 ◽  
pp. 113-129
Author(s):  
Timothy Alborn
Keyword(s):  
South Asians ◽  
Middle Eastern ◽  
British Society ◽  
Middle Eastern Women ◽  
Travel Writers

“Display” discusses gold’s appearance in British ethnographies of a wide variety of people who broadcast foreignness with gold earrings, nose rings, chains, bracelets, bangles, and bells. This genre of writing was most evocative in descriptions of Greek and Middle Eastern women who brandished coins around their necks instead of concealing them in their pockets; but it was also present in depictions of African kings, Southern European peasants, and—most effusively—South Asians of nearly all castes and ethnicities. In the course of describing foreign adornment, travel writers developed a series of models that explained the brandishing of gold as rational for the stage of civilization under review but not, implicitly, for contemporary British society; and British visitors to almost every foreign clime viewed golden ornaments as picturesque signs of a society frozen in age-old customs.

Orthostatic responses in Caucasian, South Asian, and Middle Eastern women

2021 ◽  
Vol 31 (1) ◽  
pp. 131-133
Author(s):  
Niyousha Tanbakouie ◽  
Karim Habib ◽  
Heather Edgell
Keyword(s):  
South Asian ◽  
Middle Eastern ◽  
Middle Eastern Women

Clinical Profile and Health Disparities in a Multiethnic Cohort of Patients With Hypertrophic Cardiomyopathy

2021 ◽  
Vol 14 (3) ◽  
Author(s):  
Alexandra Butters ◽  
Caitlin R. Semsarian ◽  
Richard D. Bagnall ◽  
Laura Yeates ◽  
Fergus Stafford ◽  
...  
Keyword(s):  
Health Disparities ◽  
Genetic Testing ◽  
Hypertrophic Cardiomyopathy ◽  
Ethnic Groups ◽  
South Asians ◽  
Middle Eastern ◽  
East Asian ◽  
North African ◽  
East Asians ◽  
Cardioverter Defibrillator

Background: Clinical studies of hypertrophic cardiomyopathy are over-represented by individuals of European ethnicity, with less known about other ethnic groups. We investigated differences between patients in a multiethnic Australian hypertrophic cardiomyopathy population. Methods: We performed a retrospective cohort study of 836 unrelated hypertrophic cardiomyopathy probands attending a specialized clinic between 2002 and 2020. Major ethnic groups were European (n=611), East Asian (n=75), South Asian (n=58), and Middle Eastern and North African (n=68). The minor ethnicity groups were Oceanian (n=9), People of the Americas (n=7), and African (n=8). One-way ANOVA with Dunnett post hoc test and Bonferroni adjustment were performed. Results: Mean age of the major ethnic groups was 54.9±16.9 years, and 527 (65%) were male. Using the European group as the control, East Asian patients had a lower body mass index (29 versus 25 kg/m 2 , P <0.0001). South Asians had a lower prevalence of atrial fibrillation (10% versus 31%, P =0.024). East Asians were more likely to have apical hypertrophy (23% versus 6%, P <0.0001) and Middle Eastern and North African patients more likely to present with left ventricular outflow tract obstruction (46% versus 34%, P =0.0003). East Asians were less likely to undergo genetic testing (55% versus 85%, P <0.0001) or have an implantable cardioverter-defibrillator implanted (19% versus 36%, P =0.037). East Asians were more likely to have a causative variant in a gene other than MYBPC3 or MYH7 , whereas Middle Eastern and North African and South Asians had the highest rates of variants of uncertain significance (27% and 21%, P <0.0001). Conclusions: There are few clinical differences based on ethnicity, but importantly, we identify health disparities relating to access to genetic testing and implantable cardioverter-defibrillator use. Unless addressed, these gaps will likely widen as we move towards precision-medicine–based care of individuals with hypertrophic cardiomyopathy.

Abstract 11427: Ethnic Differences in Factors Precipitating Hospital Admissions for Heart Failure in Middle-Eastern Arabs and South Asians: Insights From the Gulf CARE Registry

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Amar M Salam ◽  
Kadhim Sulaiman ◽  
Robert O Bonow ◽  
Jassim Al-Suwaidi ◽  
Khalid AlHabib ◽  
...  
Keyword(s):  
Heart Failure ◽  
Middle East ◽  
Myocardial Ischemia ◽  
Hospital Admissions ◽  
South Asians ◽  
Middle Eastern ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Precipitating Factors ◽  
The Mean

OBJECTIVES: No previous studies have specifically examined the effects of ethnicity on factors precipitating hospital admissions for heart Failure (HF). The aim of the current study was to identify factors precipitating HF hospitalizations peculiar to Middle-Eastern Arab and South Asian ethnicities using a large multinational multicenter Middle-Eastern HF registry in which these two ethnicities are most prevalent. METHODS: From February 2012 to November 2013, consecutive patients hospitalized with HF were enrolled from 47 hospitals in 7 Middle East countries. Identifiable factors contributing to HF hospitalization were pre-specified and captured at admission. Patients were divided into 2 groups according to ethnicity, Arabs and South Asians (referred to as Asians) and the 2 groups were compared. RESULTS: During the study period 5005 patients with HF were enrolled of whom 4989 patients were from the 2 ethnicities under study; 4516 Arabs (90.5%) and 473(9.5%) Asians with the mean age of 60 years for Arabs and 55 years for Asians. The mean left ventricular ejection fraction was 37 % for Arabs compared to 33.8 % for Asians, P=0.001. Among the precipitating factors studied, nonadherence to medications and infections were significantly more prevalent in Arabs compared to Asians (19.9% vs. 13.5% and 15.3% vs.8.5%, both P=0.001) whereas myocardial ischemia and uncontrolled hypertension were significantly more prevalent in Asians (40.4% vs. 25.9% and 11.6% vs.7.8%, both P=0.001). In both groups, however, myocardial ischemia and nonadherence to medications were the commonest two factors precipitating hospital admissions for HF (table). CONCLUSIONS: Our study identifies for the first time important ethnic related differences in precipitating factors for HF hospitalizations among Arabs and Asians living in the Middle-East. The current study underscores the need to consider ethnicity in studies of HF hospitalizations and HF outcomes.

scholarly journals Knowledge and attitudes towards vitamin D food fortification

2019 ◽  
Vol 49 (3) ◽  
pp. 346-358 ◽  
Author(s):  
Beth Clark ◽  
Julie Doyle ◽  
Owen Bull ◽  
Sophie McClean ◽  
Tom Hill
Keyword(s):  
Public Health ◽  
Vitamin D ◽  
Vitamin D Deficiency ◽  
South Asians ◽  
Middle Eastern ◽  
Sun Exposure ◽  
Food Fortification ◽  
Pilot Studies ◽  
Content Type ◽  
Far Eastern

Purpose Vitamin D deficiency is a well-recognised public health problem within the UK, with specific population groups more vulnerable to deficiency. Two pilot studies were used to explore awareness of vitamin D deficiency and attitudes towards food fortification. Design/methodology/approach A survey of 120 participants from five at-risk groups (South Asians, Blacks, Middle Eastern, Far Eastern and Caucasian older adults over 65 years) plus a group of British Caucasians who do not avoid sun exposure explored awareness of vitamin D, sun exposure knowledge and behaviour and attitudes towards food fortification. The latter group was included to provide a comparison group who were at a reduced risk of deficiency. χ2 was used to test associations between categorical variables and the study groups. The second study used three focus groups and two interviews, conducted on young South Asian females and examined knowledge and awareness of vitamin D and vitamin D-fortified foods. Findings A lack of knowledge and misconceptions were highlighted by both studies in relation to at-risk factors, including sunlight exposure (p = 0.037), dietary intakes (p = 0.0174) and darker skin pigmentation (p = 0.023), sources of vitamin D and the health benefits associated with optimal consumption. Attitudes to mandatory fortification of some foods varied significantly (p = 0.004) between the groups with acceptance rates for Blacks (68 per cent), those over 65 years (50 per cent), Middle Eastern (67 per cent) and Far Eastern (73 per cent), whereas the control (71 per cent) showed no acceptance, and South Asians gave a mixed response (48 per cent No). Focus group findings highlighted positive views towards fortification, although this was less for mandatory as opposed to voluntary fortification. Both pilot studies highlight the need for more research into this area, to create more effective public health policies. Originality/value The research presents novel insights into a topical area where there is limited research.

scholarly journals Women with atrial fibrillation in the Middle East: utilization of oral anticoagulant agents in a population with bad baseline clinical profiles and risk scores

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
A Hammoudeh ◽  
R Ibdah ◽  
S Rawashdeh ◽  
A Ababneh ◽  
A Al-Kasasbeh ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Middle East ◽  
Risk Score ◽  
Oral Anticoagulant ◽  
Middle Eastern ◽  
Risk Scores ◽  
Funding Sources ◽  
Middle Eastern Women ◽  
Anticoagulant Agents ◽  
Artery Disease

Abstract Background Atrial fibrillation (AF) is the most common sustained arrhythmia in women and men worldwide and in the Middle East. Several studies have shown that women with AF are undertreated despite worse baseline clinical and risk profiles compared with men. It is largely unknown if this also applies to Middle Eastern AF patients. Purpose To evaluate baseline clinical features and utilization of guideline-recommended oral anticoagulant medications (OACs) in Middle Eastern women with AF. Methods The Jordan AF prospective multicenter study enrolled 2160 patients with AF, including 1164 (53.9%) women, in 20 hospital and outpatient clinics (May 2019 through January 2021). Results Nonvalvular AF was present in 1038 (91.0%) of women and 935 (94.6%) of men. Compared with men, women were older (mean age 69.2±11.5 years vs. 66.1±14.9 years, p&lt;0.001), and had higher prevalence of hypertension (79.1% vs. 69.5%, p&lt;0.001), diabetes (46.1% vs. 41.7%, p=0.04) and obesity (60.5% vs. 34.6%, p&lt;0.001). Women, however, had lower prevalence of two comorbidities; heart failure (21.5% vs. 28.6, p=0.001) and coronary artery disease (7.7% vs. 15.4%, p&lt;0.001) compared with men. Rate of utilization of oral anticoagulant agents (OACs) was higher in women than men with high and intermediate CHA2DS2 VASc scores (Table). Direct OACs were used in 64.0% of women and 63.3% of men with high risk score (p=NS). Multivariate analysis did not show sex to be an independent predictor of use of OACs. Conclusions Middle Eastern women with AF have worse baseline clinical and risk score profiles compared with men. In disagreement with other regional studies, the majority of these women received guideline-recommended OACs. FUNDunding Acknowledgement Type of funding sources: None.

scholarly journals Cardiovascular risk assessment in South and Middle-East Asians living in the Western countries

2020 ◽  
Vol 36 (7) ◽  
Author(s):  
Sahrai Saeed ◽  
Alka M Kanaya ◽  
Louise Bennet ◽  
Peter M Nilsson
Keyword(s):  
Risk Assessment ◽  
Cardiovascular Risk ◽  
Middle East ◽  
South Asian ◽  
South Asians ◽  
Middle Eastern ◽  
Cardiovascular Risk Assessment ◽  
The West ◽  
East Asians ◽  
Western Countries

Nearly a quarter of the world population lives in the South Asian region (India, Pakistan, Bangladesh, Sri Lanka, Nepal, Bhutan, and the Maldives). Due to rapid demographic and epidemiological transition in these countries, the burden of non-communicable diseases is growing, which is a serious public health concern. Particularly, the prevalence of pre-diabetes, diabetes and atherosclerotic cardiovascular disease (CVD) is increasing. South Asians living in the West have also substantially higher risk of CVD and mortality compared with white Europeans and Americans. Further, as a result of global displacement over the past three decades, Middle-Eastern immigrants now represent the largest group of non-European immigrants in Northern Europe. This vulnerable population has been less studied. Hence, the aim of the present review was to address cardiovascular risk assessment in South Asians (primarily people from India, Pakistan and Bangladesh), and Middle-East Asians living in Western countries compared with whites (Caucasians) and present results from some major intervention studies. A systematic search was conducted in PubMed to identify major cardiovascular health studies of South Asian and Middle-Eastern populations living in the West, relevant for this review. Results indicated an increased risk of CVD. In conclusion, both South Asian and Middle-Eastern populations living in the West carry significantly higher risk of diabetes and CVD compared with native white Europeans. Lifestyle interventions have been shown to have beneficial effects in terms of reduction in the risk of diabetes by increasing insulin sensitivity, weight loss as well as better glycemic and lipid control. doi: https://doi.org/10.12669/pjms.36.7.3292 How to cite this:Saeed S, Kanaya AM, Bennet L, Nilsson PM. Cardiovascular risk assessment in South and Middle-East Asians living in the Western countries. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.3292 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Contesting identities : Representing British South Asians in Damien O'Donnell's "East is East"

2010 ◽  
Vol 8 ◽  
pp. 175 ◽  
Author(s):  
Sarah Zapata
Keyword(s):  
Great Britain ◽  
Cultural Diversity ◽  
South Asians ◽  
British Society ◽  
Culture Clash ◽  
Two Cultures ◽  
Family Living ◽  
New Perspective

The presence of Asian in Great Britain has added a new perspective to debates about notions such as ‘identity’, ‘multiculturalism’ and ‘Englishness’. East is East (Damien O’Donnell, 1999) explores the culture clash that occurs in the context of a half Pakistani and half British family living in early 1970’s Salford. Through its representation of an atypical family the film’s emphasis lies most conspicuously on its portrayal of the beginnings of contemporary multi-ethnic and multicultural British society. This way, the film highlights issues of cultural diversity, difference and hybridity while also raising questions about identity, belonging and the concept of Englishness. The aim of this essay will therefore be to examine how Daniel O’Donnell’s film East is East explores the paradoxical nature of “identities” inevitably swaying in between two cultures by looking at the diverse discourses on identity and how they have been constructed.

scholarly journals A Transnational Dialogue from the Arab-Argentine Immigrant Press

1970 ◽  
pp. 5-9
Author(s):  
María del Mar Logroño Narbona
Keyword(s):  
Middle East ◽  
Middle Eastern ◽  
Middle Eastern Women ◽  
French Mandate

Beyond the geographical borders of the Middle East, discourses and debates about Middle Eastern women played an important role in the Arabic immigrant press inthe Mahjar (diaspora). This article explores the particular case of al-Istiklaal in the final moments and aftermath of the Great Syrian Revolt, “the largest, longest, andmost destructive of the Arab Middle Eastern revolts” (Provence, 2005, p. 12). From its first issue in June 1926 until late 1929, this Arab-Argentine newspaper systematically attacked the French Mandate and advocated for an independent Syria and Lebanon, which should be part of a larger pan-Arab political entity.

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